Find information on hip bursitis diagnosis, including clinical documentation tips, ICD-10 and CPT codes for trochanteric bursitis, and common symptoms like hip pain and limited range of motion. Learn about differential diagnosis considerations for greater trochanteric pain syndrome, ischiogluteal bursitis, and snapping hip syndrome. Explore resources for accurate medical coding and billing for bursitis of the hip. Understand the examination techniques used to assess hip bursitis and effective treatment options.
Also known as
Soft tissue disorders
Includes various soft tissue disorders like bursitis, synovitis, and tenosynovitis.
Other bursitis
Covers bursitis not specified for other areas like elbow, shoulder or hip.
Enthesopathy of hip
Includes enthesopathy of the hip region, related to inflammatory conditions.
Diseases of the musculoskeletal system and connective tissue
Encompasses a wide range of musculoskeletal and connective tissue conditions.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the hip bursitis specified as trochanteric?
Yes
Code M70.61
No
Is it specified as ischial?
When to use each related code
Description |
---|
Hip bursitis: Inflamed hip bursa |
Gluteal tendinopathy: Degenerated hip tendons |
Trochanteric pain syndrome: Encompasses bursitis & tendinopathy |
Coding hip bursitis without specifying right, left, or bilateral can lead to claim denials and inaccurate data reporting. Use ICD-10-CM laterality codes for specificity.
Failing to distinguish trochanteric bursitis (M70.61) from other hip bursitis (M70.60) impacts reimbursement and quality metrics. Proper documentation is crucial for accurate coding.
Vague documentation without specific symptoms and exam findings may lead to unspecified codes. Detailed clinical documentation improves coding accuracy and justifies medical necessity.
Patient presents with complaints of hip pain, consistent with a diagnosis of trochanteric bursitis. Onset of lateral hip pain is reported as gradual, worsening with activities such as walking, climbing stairs, lying on the affected side, and prolonged standing. Pain is localized to the greater trochanter region and may radiate down the lateral thigh. Physical examination reveals point tenderness over the greater trochanter and pain with abduction and external rotation of the hip. Range of motion is otherwise within normal limits, though painful. No evidence of hip joint instability or neurological deficit. Differential diagnosis includes iliotibial band syndrome, gluteal tendinopathy, and lumbar radiculopathy. Assessment includes palpation for tenderness, assessment of range of motion, and evaluation for pain with resisted abduction. Imaging studies are not routinely indicated but may be considered to rule out other pathologies. Treatment plan includes conservative management with rest, ice, nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, and physical therapy focusing on stretching and strengthening exercises. Patient education provided regarding activity modification and proper body mechanics. Follow-up scheduled in two weeks to assess response to treatment. ICD-10 code M70.61, Trochanteric bursitis, is assigned. CPT codes for evaluation and management, physical therapy, and possible injection procedures will be determined based on services provided.